Research Article Level of Education as the Determinant Factor of Obstetric Outpatients’ Knowledge about Intra Uterine Device in Kramat Jati Public Health Center Tingkat Pendidikan sebagai Faktor Determinan Pengetahuan Pasien Poliklinik Kebidanan mengenai Alat Kontrasepsi Dalam Rahim di Puskesmas Kecamatan Kramat Jati Rinto Hariwibowo, Risca Marcelena, Rudy Kurniawan, Sandra Listiarini Shabrina R. Putri, Silvy Firdaus, Dhika Prabu, Fernandi Moegni Department of Obstetrics and Gynecology Faculty of Medicine University of Indonesia/ Dr. Cipto Mangunkusumo General Hospital Jakarta INTRODUCTION Maternal and child health are an essential develop- ment parameters of a nation, and it is included in the Millenium Development Goals (MDGs) that strive to lower Maternal Mortality Rate (MMR) to 102 per 100,000 births in 2015. 1,2 According to the Indonesia Demographic and Health Survey (IDHS), MMR in Indonesia decreases from 450 per 100,000 births in 1986 to 307 per 100,000 births in 2002, and 228 per 100,000 births in 2007. 3 Despite the improvement, the MMR tar- get of the MDGs in 2015 would still be hard to achieve without further intervention. One example of such intervention is the family planning pro- gram. Contraceptions are expected to lower unwanted/ unexpected pregnancies which would also lower the risk of pregnancy-associated complications. Con- Abstract Objective: To know the main factor affecting the knowledge of ob- stetric outpatients about intra uterine device (IUD). Method: This is across sectional study involving 106 subjects who were selected by a consecutive random sampling in obstetric outpa- tients clinic, Kramat Jati Public Health Center, Jakarta. Data were ob- tained from guided questionnaire. There are several dependent vari- ables, including the knowledge level of respondents toward IUD. Meanwhile, there are also independent variables, including educa- tion level, job, number of children, history of contraception use, and sources of information. The knowledge score >60% is considered good. Afterwards, the data was evaluated with multivariate analysis with binary logistic regression. Result: The study found association between the rate of knowledge with the level of education (p=0.015) and history of contraceptive usage (p=0.022). In multivariate analysis, it appeared that education level was the determinant factor, with the rate of low knowledge 2.6 times higher in the low education group. Conclusion: Level of education are the determinant factor of obstet- ric outpatients’ knowledge about intra uterine device in Kramat Jati Public Health Center. [Indones J Obstet Gynecol 2012; 36-1:43-7] Keywords: IUD, knowledge, level of education Abstrak Tujuan: Untuk mengetahui faktor utama yang memengaruhi penge- tahuan pasien poliklinik kebidanan mengenai alat kontrasepsi dalam rahim (AKDR). Metode: Penelitian ini merupakan studi potong lintang yang melibat- kan 106 subjek yang terpilih dengan metode consecutive sampling di poliklinik kebidanan, Puskesmas Kramat Jati, Jakarta. Data didapat- kan melalui kuesioner terpimpin. Terdapat variabel bergantung da- lam penelitian ini, yakni tingkat pengetahuan, dan variabel bebas, yakni tingkat pendidikan, jumlah anak, riwayat penggunaan kon- trasepsi dan sumber informasi lainnya. Nilai >60% dianggap sebagai memiliki tingkat pengetahuan yang baik. Kemudian, dilakukan anali- sis multivariat untuk mengetahui faktor yang paling berperan. Hasil: Didapatkan adanya hubungan bermakna antara tingkat pengetahuan responden dengan tingkat pendidikan (p=0,015) dan ri- wayat KB (p=0,022). Hasil multivariat menunjukkan bahwa tingkat pendidikan merupakan faktor determinan, di mana tingkat pengeta- huan yang buruk meningkat 2,6 kali pada kelompok responden de- ngan tingkat pendidikan rendah. Kesimpulan: Tingkat pendidikan menjadi faktor utama dalam pengetahuan pasien di poliklinik kebidanan terhadap AKDR di Puskes- mas Kramat Jati, Jakarta Timur. [Maj Obstet Ginekol Indones 2012; 36-1:43-7] Kata kunci: AKDR, pengetahuan, tingkat pendidikan Correspondence: Rinto Hariwibowo. Department of Obstetrics and Gynecology Faculty of Medicine University of Indonesia/ Dr. Cipto Mangunkusumo Hospital, Jakarta. Telephone: 0811237081. Email: dhika_prabu@yahoo.co.id Vol 36, No 1 January 2012 Obstetric outpatient’s knowledge about IUD 43